MEDICARE: LASTING PEACE COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790480176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASTING PEACE COUNSELING

Provider Business Mailing Address
First Line	:	5471 ODESSA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-8393
Country	:	US
Telephone Number	:	720-532-7851
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 S HAVANA ST STE 504
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-5079
Country	:	US
Telephone Number	:	720-532-7851
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL ABIOYE
Credential	:	LPC
Telephone Number	:	720-532-7851

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	09/05/2023

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Directions to “LASTING PEACE COUNSELING ” Practice Location

Language	Start Address	Practice Location

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